Other reports and inquiries

Articles in this category

1. Patient Safety Learning: Response to the Select Committee report on the Independent Medicines and Medical Devices Safety Review (20 January 2023)

   • Medication
   • Recommendations
   • (and 7 more)

     Tagged with:

     • Medication
     • Recommendations
     • Womens health
     • Redress
     • Pregnancy
     • Maternity
     • Epilepsy
     • Patient harmed
     • Patient involvement

   By Patient Safety Learning, 20 January

   • 0 comments
   • 383 views
   • 
   • Added by Patient Safety Learning
   • 20 January

2. Health and Social Care Select Committee: Follow-up on the IMMDS report and the Government’s response (20 January 2023)

   • Medical device
   • Medication
   • (and 7 more)

     Tagged with:

     • Medical device
     • Medication
     • Recommendations
     • Womens health
     • Pregnancy
     • Baby
     • Maternity
     • Epilepsy
     • Redress

   By Patient Safety Learning, 20 January

   • 0 comments
   • 84 views
   • 
   • Added by Patient Safety Learning
   • 20 January

3. Health and Social Care Committee meeting: IMMDS Review follow up one-off session (13 December 2022)

   • Medication
   • Medical device
   • (and 6 more)

     Tagged with:

     • Medication
     • Medical device
     • Womens health
     • Patient harmed
     • Investigation
     • Pregnancy
     • Recommendations
     • Implementation

   By Patient Safety Learning, 15 December, 2022

   • 0 comments
   • 73 views
   • 
   • Added by Patient Safety Learning
   • 15 December, 2022

4. Independent Medicines and Medical Devices Safety (IMMDS) Review: update report on government implementation (12 December 2022)

   • Womens health
   • Medication
   • (and 6 more)

     Tagged with:

     • Womens health
     • Medication
     • Recommendations
     • Investigation
     • Medical device
     • Patient harmed
     • Pregnancy
     • Implementation

   By Patient Safety Learning, 13 December, 2022

   • 3 comments
   • 298 views
   • 
   • Comment by richard vA
   • 15 December, 2022

5. The Scottish Public Services Ombudsman Investigation Report into the Highland NHS Board (23 November 2022)

   • Scotland
   • Investigation
   • (and 7 more)

     Tagged with:

     • Scotland
     • Investigation
     • Patient suffering
     • Long waiting list
     • Organisation / service factors
     • Surgery - General
     • Patient harmed
     • Treatment
     • Complaint

   By Patient Safety Learning, 24 November, 2022

   • 0 comments
   • 97 views
   • 
   • Added by Patient Safety Learning
   • 24 November, 2022

6. The GMC’s handling of the case of Dr Manjula Arora: An independent learning review (November 2022)

   • Investigation
   • Regulatory issue
   • (and 6 more)

     Tagged with:

     • Investigation
     • Regulatory issue
     • Organisational learning
     • Legal issue
     • Discrimination
     • BAME
     • Ethnicity
     • Health inequalities

   By Patient Safety Learning, 8 November, 2022

   • 0 comments
   • 162 views
   • 
   • Added by Patient Safety Learning
   • 8 November, 2022

7. Early Day Motions: Financial redress for victims of surgical mesh, sodium valproate and hormone pregnancy tests (5 September 2022)

   • Medical device
   • Redress
   • (and 7 more)

     Tagged with:

     • Medical device
     • Redress
     • Negligence claim
     • Womens health
     • Patient harmed
     • Recommendations
     • Epilepsy
     • Medication
     • Pregnancy

   By Patient Safety Learning, 7 September, 2022

   • 0 comments
   • 176 views
   • 
   • Added by Patient Safety Learning
   • 7 September, 2022

8. UK Infected Blood Inquiry website

   • Blood / blood products
   • Healthcare associated infection
   • (and 4 more)

     Tagged with:

     • Blood / blood products
     • Healthcare associated infection
     • Medicine - Haematology
     • Patient harmed
     • Patient death
     • UK

   By Patient-Safety-Learning, 28 July, 2022

   • 0 comments
   • 277 views
   • 
   • Added by Patient-Safety-Learning
   • 28 July, 2022

9. UK Covid-19 Inquiry: Opening statement (21 July 2022)

   • Investigation
   • Patient death
   • (and 4 more)

     Tagged with:

     • Investigation
     • Patient death
     • Patient harmed
     • Patient / family involvement
     • Virus
     • Pandemic

   By Patient Safety Learning, 22 July, 2022

   • 0 comments
   • 410 views
   • 
   • Added by Patient Safety Learning
   • 22 July, 2022

10. RQIA Review of the systems and processes for learning from serious adverse incidents in Northern Ireland (7 July 2022)

    • Patient safety incident
    • Investigation
    • (and 7 more)

      Tagged with:

      • Patient safety incident
      • Investigation
      • Reporting
      • Organisational learning
      • Organisational Performance
      • Northern Ireland
      • Recommendations
      • Safety process
      • Flawed processes

    By Patient Safety Learning, 8 July, 2022

    • 0 comments
    • 525 views
    • 
    • Added by Patient Safety Learning
    • 8 July, 2022

11. UK Covid-19 Inquiry Terms of Reference (28 June 2022)

    • Long Covid
    • Pandemic
    • (and 3 more)

      Tagged with:

      • Long Covid
      • Pandemic
      • Public health
      • Health inequalities
      • PPE (personal Protective Equipment)

    By Patient-Safety-Learning, 1 July, 2022

    • 0 comments
    • 358 views
    • 
    • Added by Patient-Safety-Learning
    • 1 July, 2022

12. Questions in the House of Commons on surgical mesh implants (28 June 2022)

    • Medical device
    • Patient harmed
    • (and 2 more)

      Tagged with:

      • Medical device
      • Patient harmed
      • Surgery - Obs & Gynae
      • Recommendations

    By Mark Hughes, 28 June, 2022

    • 0 comments
    • 397 views
    • 
    • Added by Mark Hughes
    • 28 June, 2022

13. Independent Neurology Inquiry Report (21 June 2022)

    • Medicine - Neurology
    • Investigation
    • (and 7 more)

      Tagged with:

      • Medicine - Neurology
      • Investigation
      • Recommendations
      • Communication
      • Organisation / service factors
      • Diagnostic error
      • Patient involvement
      • Leadership
      • Policies / Protocols / Procedures

    By Patient Safety Learning, 21 June, 2022

    • 0 comments
    • 1,460 views
    • 
    • Added by Patient Safety Learning
    • 21 June, 2022

14. Scottish Covid-19 Inquiry

    • Scotland
    • Investigation
    • (and 2 more)

      Tagged with:

      • Scotland
      • Investigation
      • Virus
      • Pandemic

    By Patient Safety Learning, 16 June, 2022

    • 0 comments
    • 330 views
    • 
    • Added by Patient Safety Learning
    • 16 June, 2022

15. Independent report. Compensation and redress for the victims of infected blood: recommendations for a framework (7 June 2022)

    • Blood / blood products
    • Investigation
    • (and 4 more)

      Tagged with:

      • Blood / blood products
      • Investigation
      • Redress
      • Recommendations
      • Legal issue
      • Patient / family involvement

    By Patient Safety Learning, 10 June, 2022

    • 0 comments
    • 285 views
    • 
    • Added by Patient Safety Learning
    • 10 June, 2022

16. Early Day Motion - Implementation of the Independent Medicines and Medical Devices Safety Review recommendations (18 May 2022)

    • Medication
    • Epilepsy
    • (and 4 more)

      Tagged with:

      • Medication
      • Epilepsy
      • Patient harmed
      • Recommendations
      • Womens health
      • Baby

    By Mark Hughes, 1 June, 2022

    • 0 comments
    • 429 views
    • 
    • Added by Mark Hughes
    • 1 June, 2022

17. Queen’s Speech debate: Baroness Cumberlege excerpts (17 May 2022)

    • Womens health
    • Baby
    • (and 6 more)

      Tagged with:

      • Womens health
      • Baby
      • Patient harmed
      • Medication
      • Medical device
      • Regulatory issue
      • Pregnancy
      • Investigation

    By Patient Safety Learning, 19 May, 2022

    • 0 comments
    • 501 views
    • 
    • Added by Patient Safety Learning
    • 19 May, 2022

18. Ministerial Statement on the Ockenden Review in the House of Commons (30 March 2022)

    • Maternity
    • Investigation
    • (and 4 more)

      Tagged with:

      • Maternity
      • Investigation
      • Recommendations
      • Patient death
      • Patient harmed
      • Baby

    By Mark Hughes, 31 March, 2022

    • 0 comments
    • 327 views
    • 
    • Added by Mark Hughes
    • 31 March, 2022

19. Protecting human rights in care settings inquiry

    • Care home
    • Learning disabilities
    • (and 7 more)

      Tagged with:

      • Care home
      • Learning disabilities
      • Disability
      • Autism
      • Older People (over 65)
      • Home
      • Social Care
      • Investigation
      • Legal issue

    By Patient Safety Learning, 24 March, 2022

    • 0 comments
    • 247 views
    • 
    • Added by Patient Safety Learning
    • 24 March, 2022

20. IEA Podcast - First do no harm: Avoidable harm in the health service (25 February 2022)

    • Medical device
    • Medication
    • (and 8 more)

      Tagged with:

      • Medical device
      • Medication
      • Patient harmed
      • Investigation
      • Recommendations
      • Pregnancy
      • Epilepsy
      • Baby
      • Maternity
      • Womens health

    By Mark Hughes, 3 March, 2022

    • 0 comments
    • 344 views
    • 
    • Added by Mark Hughes
    • 3 March, 2022

21. West Suffolk Review – organisational development plan (28 January 2022)

    • Investigation
    • Staff factors
    • (and 5 more)

      Tagged with:

      • Investigation
      • Staff factors
      • Organisational culture
      • Bullying
      • Whistleblowing
      • Recommendations
      • Leadership

    By Patient Safety Learning, 1 March, 2022

    • 0 comments
    • 390 views
    • 
    • Added by Patient Safety Learning
    • 1 March, 2022

22. Early Day Motion - Implementation of the Independent Medicines and Medical Devices Safety Review recommendations (28 February 2022)

    • Medication
    • Epilepsy
    • (and 3 more)

      Tagged with:

      • Medication
      • Epilepsy
      • Patient harmed
      • Recommendations
      • Womens health

    By Mark Hughes, 1 March, 2022

    • 0 comments
    • 571 views
    • 
    • Added by Mark Hughes
    • 1 March, 2022

23. Independent Medicines and Medical Devices Safety Review: A joint letter from the Association for Children Damaged by Hormone Pregnancy Tests, Sling The Mesh and In-Fact (17 February 2022)

    • Womens health
    • Regulatory issue
    • (and 6 more)

      Tagged with:

      • Womens health
      • Regulatory issue
      • Recommendations
      • Pregnancy
      • Medical device
      • Medication
      • Patient harmed
      • Baby

    By Patient Safety Learning, 18 February, 2022

    • 0 comments
    • 1,074 views
    • 
    • Added by Patient Safety Learning
    • 18 February, 2022

24. External Inquiry into the adverse incident that occurred at Queen’s Medical Centre, Nottingham, 4th January 2001 (17 April 2001)

    • Cancer
    • Adminstering medication
    • (and 5 more)

      Tagged with:

      • Cancer
      • Adminstering medication
      • Patient death
      • System safety
      • Human factors
      • Flawed processes
      • Patient safety incident

    By Patient-Safety-Learning, 9 February, 2022

    • 0 comments
    • 561 views
    • 
    • Added by Patient-Safety-Learning
    • 9 February, 2022

25. Investigation into 10 maternal deaths at, or following delivery at, Northwick Park Hospital, North West London Hospitals NHS Trust, between April 2002 and April 2005 (August 2006)

    • Maternity
    • Patient death
    • (and 5 more)

      Tagged with:

      • Maternity
      • Patient death
      • Obstetrics and gynaecology/ Maternity
      • Skills gap
      • Additional staff required
      • Monitoring
      • Documentation

    By Patient-Safety-Learning, 9 February, 2022

    • 0 comments
    • 615 views
    • 
    • Added by Patient-Safety-Learning
    • 9 February, 2022